Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAVANTISSA MONARAWILA KEPPETIPOLA MD
NPI 1013475201
Neurological Surgery in Chicago, IL

Active since March 06, 2019PECOS Enrolled
600 S PAULINA ST, CHICAGO, IL 60612(312) 942-7100 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kavantissa Monarawila Keppetipola Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAVANTISSA MONARAWILA KEPPETIPOLA MD (NPI 1013475201) is an individual neurological surgery provider in Chicago, Illinois, licensed in Georgia (113510) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1013475201
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameKAVANTISSA MONARAWILA KEPPETIPOLACredential: MD
Location Address600 S PAULINA STChicago, IL 60612-3806
Mailing Address600 S Paulina StChicago, IL 60612-3806
Sole ProprietorNo
Enumeration DateMarch 6, 2019
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
NPI 1013475201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in GA · 113510
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
600 S PAULINA ST, Chicago, IL 60612

Secondary Practice Location 1

Location 11315 Jesse Jewell Pkwy NE Ste 300Gainesville, GA 30501-3875 · Phone (770) 219-9678

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kavantissa Monarawila Keppetipola Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
600 S PAULINA ST
CHICAGO, IL 60612
Hospitalist
600 S PAULINA ST
CHICAGO, IL 60612
Neurological Surgery
600 S PAULINA ST
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
600 S PAULINA ST
CHICAGO, IL 60612
Family Medicine
600 S PAULINA ST
CHICAGO, IL 60612
Emergency Medicine
600 S PAULINA ST
CHICAGO, IL 60612
Family Medicine (Geriatric Medicine)
600 S PAULINA ST, SUITE 130
CHICAGO, IL 60612
Speech-Language Pathologist
600 S PAULINA ST, ROOM 1018B
CHICAGO, IL 60612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kavantissa Keppetipola's NPI number?

The NPI number for Kavantissa Keppetipola is 1013475201. It was assigned to this individual provider in the NPPES registry on March 6, 2019.

Where is Kavantissa Keppetipola located?

Kavantissa Keppetipola practices at 600 S Paulina St, Chicago, IL 60612. The listed phone number is (312) 942-7100.

What is Kavantissa Keppetipola's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Kavantissa Keppetipola enrolled in Medicare?

Yes. Kavantissa Keppetipola is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kavantissa Keppetipola was last updated on June 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.